*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter - as a primary diagnosis code | T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.98 | |
| Readmission Rate (%) | 11.45 | |
| Unplanned Readmission Rate (%) | 3.83 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | ||||
| Total Hospitalizations with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 5,414 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter in DRG | 48.37 | ||||
| Avg LOS at DRG | 2.48 | ||||
| Avg LOS with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 2.28 | ||||
| Readmission Rate at DRG | 10.12 | ||||
| Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 7.06 | ||||
| Unplanned Readmission Rate at DRG | 3.88 | ||||
| Unplanned Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 2.93 | ||||
| Total Medicare payments at DRG | $919,481,919 | ||||
| Total Medicare payments with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $89,453,954 | ||||
| Total Medicare payment per Day at DRG | $6,689 | ||||
| Total Medicare payment per Day with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $7,256 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,599 | ||||
| Total Medicare payment per Hospitalization with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $16,523 | ||||
| Total Medicare Charges at DRG | $4,627,801,183 | ||||
| Total Medicare Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $544,181,306 | ||||
| Avg Charges at DRG | $83,542 | ||||
| Avg Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $100,514 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.76 | ||||
| SNF Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 14.89 | ||||
| Home Discharge Rate at DRG | 33.3 | ||||
| Home Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 34.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 272 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter in DRG | 2.43 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 2.82 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 15.09 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 4.15 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $3,724,976 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $4,863 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $13,695 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $17,944,904 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $65,974 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 25.0 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 27.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,992 | |||
| Total Hospitalizations with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 32 | |||
| DRG Share of Total Hospitalizations | 0.08 | |||
| % of Total ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter in DRG | 0.29 | |||
| Avg LOS at DRG | 3.14 | |||
| Avg LOS with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 4.5 | |||
| Readmission Rate at DRG | 33.4 | |||
| Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 48.28 | |||
| Unplanned Readmission Rate at DRG | 1.96 | |||
| Unplanned Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | |||
| Total Medicare payments at DRG | $489,758,453 | |||
| Total Medicare payments with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $777,697 | |||
| Total Medicare payment per Day at DRG | $6,008 | |||
| Total Medicare payment per Day with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $5,401 | |||
| Total Medicare payment per Hospitalization at DRG | $18,843 | |||
| Total Medicare payment per Hospitalization with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $24,303 | |||
| Total Medicare Charges at DRG | $2,446,586,446 | |||
| Total Medicare Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $4,542,383 | |||
| Avg Charges at DRG | $94,128 | |||
| Avg Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $141,949 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 24.57 | |||
| SNF Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | |||
| Home Discharge Rate at DRG | 19.34 | |||
| Home Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 112 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 78 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY KRIKOR DEIRMENGIAN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 31 |
| Dr. JACK W BOWLING | 5305 WRIGHTSVILLE AVE | WILMINGTON | NC | 28403 | 28 |
| Dr. ANDRE CHARLES MATTHEWS | 6345 E BAYWOOD AVE | MESA | AZ | 85206 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY KRIKOR DEIRMENGIAN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 31 |
| Dr. JACK W BOWLING | 5305 WRIGHTSVILLE AVE | WILMINGTON | NC | 28403 | 29 |
| Dr. ANDRE CHARLES MATTHEWS | 6345 E BAYWOOD AVE | MESA | AZ | 85206 | 27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | ||||
| Total Hospitalizations with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 5,854 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter in DRG | 43.89 | ||||
| Avg LOS at DRG | 2.48 | ||||
| Avg LOS with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 2.29 | ||||
| Readmission Rate at DRG | 10.12 | ||||
| Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 7.04 | ||||
| Unplanned Readmission Rate at DRG | 3.88 | ||||
| Unplanned Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 2.94 | ||||
| Total Medicare payments at DRG | $919,481,919 | ||||
| Total Medicare payments with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $96,452,639 | ||||
| Total Medicare payment per Day at DRG | $6,689 | ||||
| Total Medicare payment per Day with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $7,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,599 | ||||
| Total Medicare payment per Hospitalization with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $16,476 | ||||
| Total Medicare Charges at DRG | $4,627,801,183 | ||||
| Total Medicare Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $587,265,882 | ||||
| Avg Charges at DRG | $83,542 | ||||
| Avg Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $100,319 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.76 | ||||
| SNF Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 15.15 | ||||
| Home Discharge Rate at DRG | 33.3 | ||||
| Home Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 34.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,481 | ||||
| Total Hospitalizations with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 352 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter in DRG | 2.64 | ||||
| Avg LOS at DRG | 8.13 | ||||
| Avg LOS with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 5.8 | ||||
| Readmission Rate at DRG | 32.43 | ||||
| Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 25.53 | ||||
| Unplanned Readmission Rate at DRG | 12.96 | ||||
| Unplanned Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 8.81 | ||||
| Total Medicare payments at DRG | $400,883,135 | ||||
| Total Medicare payments with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $10,543,092 | ||||
| Total Medicare payment per Day at DRG | $3,948 | ||||
| Total Medicare payment per Day with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $5,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,119 | ||||
| Total Medicare payment per Hospitalization with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $29,952 | ||||
| Total Medicare Charges at DRG | $1,850,418,970 | ||||
| Total Medicare Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $50,910,398 | ||||
| Avg Charges at DRG | $148,259 | ||||
| Avg Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $144,632 | ||||
| Mortality Rate at DRG | 3.33 | ||||
| Mortality Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 53.25 | ||||
| SNF Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 44.6 | ||||
| Home Discharge Rate at DRG | 6.69 | ||||
| Home Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 10.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,992 | ||||
| Total Hospitalizations with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 58 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter in DRG | 0.43 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 4.26 | ||||
| Readmission Rate at DRG | 33.4 | ||||
| Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 38.18 | ||||
| Unplanned Readmission Rate at DRG | 1.96 | ||||
| Unplanned Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| Total Medicare payments at DRG | $489,758,453 | ||||
| Total Medicare payments with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $1,451,302 | ||||
| Total Medicare payment per Day at DRG | $6,008 | ||||
| Total Medicare payment per Day with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $5,876 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,843 | ||||
| Total Medicare payment per Hospitalization with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $25,022 | ||||
| Total Medicare Charges at DRG | $2,446,586,446 | ||||
| Total Medicare Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $8,597,600 | ||||
| Avg Charges at DRG | $94,128 | ||||
| Avg Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $148,234 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 24.57 | ||||
| SNF Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 29.31 | ||||
| Home Discharge Rate at DRG | 19.34 | ||||
| Home Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 19 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter in DRG | 0.14 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | 4.84 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $99,773 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $1,084 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $5,251 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $740,740 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | $38,986 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD T84033A - Mechanical loosening of internal left knee prosthetic joint, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 132 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 98 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY KRIKOR DEIRMENGIAN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 35 |
| Dr. BRETT R. LEVINE | 1611 W HARRISON ST | CHICAGO | IL | 60612 | 30 |
| Dr. ANDRE CHARLES MATTHEWS | 6345 E BAYWOOD AVE | MESA | AZ | 85206 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY KRIKOR DEIRMENGIAN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 34 |
| Dr. JACK W BOWLING | 5305 WRIGHTSVILLE AVE | WILMINGTON | NC | 28403 | 31 |
| Dr. ROWLAND MARSHALL ROBERSON | 2500 N STATE ST | JACKSON | MS | 39216 | 29 |